26,669 results match your criteria Anesthesiology[Journal]

Perioperative outcomes of non-intubated versus intubated video-assisted thoracoscopic surgery in different thoracic procedures: a propensity score-matched analysis.

BMC Anesthesiol 2022 May 19;22(1):154. Epub 2022 May 19.

CardioThoracic Surgery Unit, Department of Surgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, 681 Thanon Samsen, Khwaeng Wachira Phayaban, Khet Dusit, Krung Thep Maha Nakhon, Bangkok, Thailand.

Background: Non-intubated video-assisted thoracoscopic surgery (NIVATS) is increasingly performed in different types of thoracic procedures. Based on the anesthetic perspective, the outcomes of this method are limited. General anesthesia with intubation and controlled ventilation for video-assisted thoracoscopic surgery (IVATS) is a standard technique. Read More

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Chronic postsurgical pain after minimally invasive adrenalectomy: prevalence and impact on quality of life.

BMC Anesthesiol 2022 May 19;22(1):153. Epub 2022 May 19.

Department of Urology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525, GA, Nijmegen, The Netherlands.

Background: Minimally invasive adrenalectomy is the standard of care for small adrenal tumours. Both the transperitoneal lateral approach and posterior retroperitoneal approach are widely used and have been proven to be safe and effective. However, the prevalence of chronic postsurgical pain has not been specifically investigated in previous studies. Read More

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Pain and Mobilization after Surgery: Comment.

Anesthesiology 2022 May 20. Epub 2022 May 20.

University of Colorado Anschutz Medical Campus, Aurora, Colorado (M.F.).

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Pain and Mobilization after Surgery: Reply.

Anesthesiology 2022 May 20. Epub 2022 May 20.

Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio (A.T.).

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A beginner's view of end of life care on German intensive care units.

BMC Anesthesiol 2022 May 18;22(1):151. Epub 2022 May 18.

Department of Cardiology and Vascular Medicine, West German Heart and Vascular Center Essen, University Duisburg-Essen, Essen, Germany.

Background: Little is known about importance and implementation of end-of-life care (EOLC) in German intensive care units (ICU). This survey analyses preferences and differences in training between "medical" (internal medicine, neurology) and "surgical" (surgery, anaesthesiology) residents during intensive care rotation.

Methods: This is a point-prevalence study, in which intensive care medicine course participants of one educational course were surveyed. Read More

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Effect of dexmedetomidine administration on analgesic, respiration and inflammatory responses in patients undergoing percutaneous endoscopic lumbar discectomy: a prospective observational study.

BMC Anesthesiol 2022 May 18;22(1):152. Epub 2022 May 18.

Department of Anesthesiology, First Affiliated Hospital of Gannan Medical University, Jiangxi, People's Republic of China.

Background: Local anesthesia has been recommended for percutaneous endoscopic lumbar discectomy (PELD) in recent years; however, the efficacy, including oxidative stress, inflammatory reactions and ventilation effects, when intravenous dexmedetomidine (DEX) is administered during PELD has not been described.

Methods: Sixty adult patients undergoing PELD were randomly allocated to either an intravenous DEX sedation group (Group A) or a normal saline group (Group B). Respiratory data, including minute ventilation (MV), tidal volume (TV), and respiratory rate (RR), were recorded using a respiratory volume monitor (RVM), and peripheral oxygen saturation (SpO) was monitored by pulse oximetry. Read More

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Comparison of superior and inferior vena cava diameter variation measured with transthoracic echocardiography to predict fluid responsiveness in mechanically ventilated patients after abdominal surgery.

BMC Anesthesiol 2022 May 17;22(1):150. Epub 2022 May 17.

Department of Anesthesiology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, 321 Zhongshan Road, Nanjing, 210008, Jiangsu, China.

Background: The volume status of patients after major abdominal surgery constantly varies owing to postoperative diverse issues comprising fluid loss or capillary leakage secondary to systemic inflammatory reaction syndrome, et.al, the precise fluid responsiveness assessment is crucial for those patients. The purpose of this study is to validate the transthoracic ultrasonographic measurement of superior and inferior vena cava variation in predicting fluid responsiveness of mechanically ventilated patients after surgery. Read More

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Sevoflurane concentration for cannulation in developmental disabilities.

BMC Anesthesiol 2022 May 16;22(1):148. Epub 2022 May 16.

Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.

Objective: The goal of this study was to compare the end-tidal sevoflurane concentration and time for intravenous cannulation at induction of anesthesia using sevoflurane with or without nitrous oxide in healthy children and in those with developmental disabilities.

Methods: Normal and developmentally disabled children were anesthetized by inhalation of sevoflurane with nitrous oxide or with nitrous oxide-free oxygen, and intravenous cannulae were introduced. Nitrous oxide was stopped after loss of consciousness. Read More

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Delirium risk factors in hospitalized patient: a comprehensive evaluation of underlying diseases and medications in different wards of a large Urban Hospital Center in Iran.

BMC Anesthesiol 2022 May 16;22(1):147. Epub 2022 May 16.

Non-communicable Diseases Research Center, Tehran University of Medical Sciences, Jalal Street, Tehran, 1411713139, Iran.

Background: Delirium is a neurobehavioral syndrome, which is characterized by a fluctuation of mental status, disorientation, confusion and inappropriate behavior, and it is prevalent among hospitalized patients. Recognizing modifiable risk factors of delirium is the key point for improving our preventive strategies and restraining its devastating consequences. This study aimed to identify and investigate various factors predisposing hospitalized patients to develop delirium, focusing mostly on underlying diseases and medications. Read More

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Intraoperative low tidal volume ventilation and the risk of ICD-10 coded delirium and the use for antipsychotic medications.

BMC Anesthesiol 2022 May 16;22(1):149. Epub 2022 May 16.

Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia.

Background: Low tidal volume (V) ventilation and its associated increase in arterial carbon dioxide (PaCO) may affect postoperative neurologic function. We aimed to test the hypothesis that intraoperative low V ventilation affect the incidence of postoperative ICD-10 coded delirium and/or the need for antipsychotic medications.

Methods: This is a post-hoc analysis of a large randomized controlled trial evaluating low vs. Read More

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Effect of intratracheal dexmedetomidine combined with ropivacaine on postoperative sore throat: a prospective randomised double-blinded controlled trial.

BMC Anesthesiol 2022 May 14;22(1):144. Epub 2022 May 14.

Department of Anaesthesiology, The Third Affiliated Hospital of Anhui Medical University, The First People's Hospital of Hefei), 390 Huaihe Road, Hefei, 230061, Anhui, China.

Background: The present study aimed to investigate whether intratracheal dexmedetomidine combined with ropivacaine reduces the severity and incidence of postoperative sore throat after tracheal intubation under general anaesthesia.

Methods: Two hundred patients with American Society of Anaesthesiologists physical status I-II who were subjected to general anaesthesia were randomly divided into four groups, namely, Group D, Group R, Group DR and Group S; these groups received intratracheal dexmedetomidine (1 µg/kg), 0.8% ropivacaine (40 mg), dexmedetomidine (1 µg/kg) combined with 0. Read More

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Predicting difficult laryngoscopy in morbidly obese Thai patients by ultrasound measurement of distance from skin to epiglottis: a prospective observational study.

BMC Anesthesiol 2022 May 14;22(1):145. Epub 2022 May 14.

Department of Anesthesiology, Faculty of Medicine, Songklanagarind Hospital, Prince of Songkla University, 15 Kanjanavanich Road, Hat Yai, Songkhla, Songkhla, 90110, Thailand.

Background: In morbidly obese patients, airway management is challenging since the incidence of difficult intubation is three times than those with a BMI within the healthy range. Standard preoperative airway evaluation may help to predict difficult laryngoscopy. Recent studies have used ultrasonography-measured distance from skin to epiglottis and pretracheal soft tissue at the level of vocal cords, and cut-off points of 27. Read More

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Outcomes and risk factors for delayed-onset postoperative respiratory failure: a multi-center case-control study by the University of California Critical Care Research Collaborative (UCRC).

BMC Anesthesiol 2022 May 14;22(1):146. Epub 2022 May 14.

Center for Healthcare Policy and Research, University of California Davis, Sacramento, CA, USA.

Background: Few interventions are known to reduce the incidence of respiratory failure that occurs following elective surgery (postoperative respiratory failure; PRF). We previously reported risk factors associated with PRF that occurs within the first 5 days after elective surgery (early PRF; E-PRF); however, PRF that occurs six or more days after elective surgery (late PRF; L-PRF) likely represents a different entity. We hypothesized that L-PRF would be associated with worse outcomes and different risk factors than E-PRF. Read More

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QTc interval prolongation due to spinal anesthesia in patients with and without diabetes: an observational study.

BMC Anesthesiol 2022 May 13;22(1):143. Epub 2022 May 13.

Department of Anesthesiology and Pain Medicine, Inha University College of Medicine, Incheon, Korea.

Background: Spinal anesthesia and autonomic neuropathy (caused by diabetes) prolong the QTc interval. Changes in the duration of the QTc interval following subarachnoid blockade in patients with diabetes have not been evaluated. We hypothesized that after subarachnoid blockade, QTc interval prolongation would be greater in patients with diabetes than in those without. Read More

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Mechanical Power: Correlate or Cause of Ventilator-induced Lung Injury?

Anesthesiology 2022 May 13. Epub 2022 May 13.

Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio.

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Erector spinae plane block vs interscalene brachial plexus block for postoperative analgesia management in patients who underwent shoulder arthroscopy.

BMC Anesthesiol 2022 May 12;22(1):142. Epub 2022 May 12.

Department of Anesthesiology and Reanimation, School of Medicine, Istanbul Medipol University, Istanbul, Turkey.

Background: Interscalene brachial plexus block (ISB) is the gold standard method used for postoperative analgesia after arthroscopic shoulder surgery. Ultrasound guided erector spinae plane block (ESPB) is an interfascial plane block. The aim of this study is to compare the analgesic efficacy of ESPB and ISB after shoulder arthroscopy. Read More

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Opioid prescribing practices at hospital discharge for surgical patients before and after the Centers for Disease Control and Prevention's 2016 opioid prescribing guideline.

BMC Anesthesiol 2022 May 11;22(1):141. Epub 2022 May 11.

Department of Anesthesia and Perioperative Care, University of California San Francisco, 513 Parnassus Ave, S455, San Francisco, CA, 94143, USA.

Background: The Centers for Disease Control and Prevention's (CDC) March 2016 opioid prescribing guideline did not include prescribing recommendations for surgical pain. Although opioid over-prescription for surgical patients has been well-documented, the potential effects of the CDC guideline on providers' opioid prescribing practices for surgical patients in the United States remains unclear.

Methods: We conducted an interrupted time series analysis (ITSA) of 37,009 opioid-naïve adult patients undergoing inpatient surgery from 2013-2019 at an academic medical center. Read More

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The coagulopathy underlying rotational thromboelastometry derangements in trauma patients: a prospective observational multicenter study.

Anesthesiology 2022 May 12. Epub 2022 May 12.

Laboratory of Experimental Intensive Care and Anesthesiology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.

Background: Viscoelastic hemostatic assays such as rotational thromboelastometry (ROTEM®) are used to guide treatment of trauma induced coagulopathy. We hypothesized that ROTEM derangements reflect specific coagulation factor deficiencies after trauma.

Methods: Secondary analysis of a prospective cohort study in six European trauma centers in patients presenting with full trauma team activation. Read More

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Propofol total intravenous anaesthesia versus inhalational anaesthesia for acute postoperative pain in patients with morphine patient-controlled analgesia: a large-scale retrospective study with covariate adjustment.

BMC Anesthesiol 2022 May 10;22(1):140. Epub 2022 May 10.

Laboratory and Clinical Research Institute for Pain, Department of Anaesthesiology, The University of Hong Kong, HKSAR, Hong Kong, China.

Background: To compare the postoperative analgesic effect of propofol total intravenous anaesthesia (TIVA) versus inhalational anaesthesia (GAS) in patients using morphine patient-controlled analgesia (PCA).

Methods: A retrospective cohort study was performed in a single tertiary university hospital. Adult patients who used PCA morphine after general anaesthesia across 15 types of surgeries were included. Read More

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Anesthetic experience does not reduce accidental dural puncture in surgical patients: a retrospective case-controlled study.

BMC Anesthesiol 2022 May 10;22(1):139. Epub 2022 May 10.

Department of Anesthesiology, Faculty of Medicine, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.

Background: Accidental dural puncture (ADP), which is a complication of epidural anesthesia, still exists and leads to worse outcomes in surgical patients. While residency training is important for epidural competency, it remains unknown whether anesthetic experience reduces ADP in surgical patients. Using an incident reporting system along with anesthetic records, this case-controlled study retrospectively investigated risk factors associated with ADP in surgical patients. Read More

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Savoring Uncertainty.

Anesthesiology 2022 May 11. Epub 2022 May 11.

Departments of Anesthesiology and Physiology and Biophysics, University of Washington School of Medicine, Seattle, Washington.

Quantitation of Chemoreceptor Activity: Interrelation of Hypoxia and Hypercapnia. By TF Hornbein, ZJ Griffo, A Roos. J Neurophysiol 1961; 24:561-8. Read More

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Subanaesthetic dose of esketamine during induction delays anaesthesia recovery a randomized, double-blind clinical trial.

BMC Anesthesiol 2022 05 9;22(1):138. Epub 2022 May 9.

Anaesthesia Department, The Fourth Affiliated Hospital Zhejiang University School of Medicine, No. N1, Shangcheng Road, Yiwu City, Zhejiang Province, 322000, People's Republic of China.

Background: Esketamine is an antagonist of the N-methyl-D-aspartate receptor (NMDA receptor) that is widely used for multimodal analgesia. In addition to analgesia, sedation is another important effect of esketamine. However, data are limited regarding the sedation effect of esketamine during general anaesthesia. Read More

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Hypoxia and Hypercoagulability in COVID-19: Chicken or the Egg?

Anesthesiology 2022 May 9. Epub 2022 May 9.

Department of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado.

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Stepwise Ventilator Waveform Assessment to Diagnose Pulmonary Pathophysiology.

Anesthesiology 2022 May 6. Epub 2022 May 6.

Department of Anesthesiology, Division of Critical Care, Columbia University Irving Medical Center, New York, New York.

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Expert Consensus Regarding Core Outcomes for Enhanced Recovery after Cesarean Delivery Studies: A Delphi study.

Anesthesiology 2022 May 5. Epub 2022 May 5.

Professor. MBBCh. Stanford University School of Medicine, California, USA.

Background: Heterogeneity among reported outcomes from enhanced recovery after cesarean delivery impact studies is high. This study aimed to develop a standardized enhanced recovery core outcome set for use in future enhanced recovery after cesarean delivery studies.

Methods: An international consensus study involving physicians, patients and a director of Midwifery and Nursing Services, was conducted using a three-round modified Delphi approach (2 rounds of electronic questionnaires and a 3rd round e-discussion), to produce the core outcome set. Read More

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Efficacy of using tidal volume challenge to improve the reliability of pulse pressure variation reduced in low tidal volume ventilated critically ill patients with decreased respiratory system compliance.

BMC Anesthesiol 2022 05 4;22(1):137. Epub 2022 May 4.

Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China.

Background: The prediction accuracy of pulse pressure variation (PPV) for fluid responsiveness was proposed to be unreliable in low tidal volume (Vt) ventilation. It was suggested that changes in PPV obtained by transiently increasing Vt to 8 ml/kg accurately predicted fluid responsiveness even in subjects receiving low Vt. We assessed whether the changes in PPV induced by a Vt challenge predicted fluid responsiveness in our critically ill subjects ventilated with low Vt 6 ml/kg. Read More

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Carbon Footprint of Anesthesia: Reply.

Anesthesiology 2022 May 5. Epub 2022 May 5.

Western Health, Melbourne, Australia; University of Melbourne, Melbourne, Australia; School of Public Health, University of Sydney, Sydney, Australia (F.M.).

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Stuck in a Rut: Anesthetic Brain Dynamics in the Young.

Jamie W Sleigh

Anesthesiology 2022 May 5. Epub 2022 May 5.

Department of Anaesthesiology, Waikato Clinical Campus, Faculty of Medical and Health Sciences, University of Auckland, Hamilton, New Zealand.

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